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Korean Integrative Medicine Institute
Myofascial Meridian Stimulation Therapy
KI1: 용천
KI2: 연곡
KI10: 음곡KI16:
KI7: 복유
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Korean Integrative Medicine Institute
Myofascial Meridian Stimulation Therapy
BL60: 곤륜
BL37: 은문
BL: 담수 , 비수 ,위수 ,
BL40:위중
BL25:대장수
BL11: 대저BL10: 천주
BL57: 승산
BL: 상료 , 차료 , 중료 ,하료
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Korean Integrative Medicine Institute
Myofascial Meridian Stimulation Therapy
SP6: 삼음교
SP9:음릉천
SP10: 혈해
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Korean Integrative Medicine Institute
Myofascial Meridian Stimulation Therapy
ST36: 족삼리
ST6: 협차
ST7:하관
ST41: 해계
ST33: 음시
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Korean Integrative Medicine Institute
Myofascial Meridian Stimulation Therapy
CV24:수구
CV4:관원
CV12: 중완
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Korean Integrative Medicine Institute
Myofascial Meridian Stimulation Therapy
GV3: 요양관
GV6: 척중
GV14:대추
GV15: 아문GV16:
풍부
GV20: 백회
GV26: 수구
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Korean Integrative Medicine Institute
Myofascial Meridian Stimulation Therapy
Knee-Ankle approach
Patellofemoral joint dysfunction
Postural Bowlegs
Postural Knock-Knees
Supinated Feet
Pronated Feet
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Korean Integrative Medicine Institute
Myofascial Meridian Stimulation Therapy
Patellofemoral joint dysfunction
TFL-iliotibial band 또는 gluteus maximus-iliotibial band 의 short
Vastus medialis oblique 의 불충분한 수행
Posterior gluteus medius 의 불충분한 수행으로 TFL 의 근활동 dominant 에 기여
Iliopsoas 의 불충분한 수행으로 TFL 의 근활동 dominant 에 기여
Patella 가 하방에 위치 , tilted inferior, rotated laterally and superiorly
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Korean Integrative Medicine Institute
Myofascial Meridian Stimulation Therapy
Postural Bowlegs & Postural Knock-Knees A combination of medial rotation of the femurs, pronation of the feet and hyperextension of the kneesA combination of lateral rotation of the femurs, supination of the feet and hyperextension of the knees
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Korean Integrative Medicine Institute
Myofascial Meridian Stimulation Therapy
Supinated Feet
The weight is borne on the outer borders of the feet, and long arches are higher than normal.
Invert the feet -> anterior tibial muscle is prominent
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Korean Integrative Medicine Institute
Myofascial Meridian Stimulation Therapy
Cervico-occiput approach
Acting bilaterally:Extension
Acting bilaterally: Extension
Acting unilaterally: same side rotation
Acting bilaterally: Extension
& Lateral flexion
Acting unilaterally: same side rotation
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Korean Integrative Medicine Institute
Myofascial Meridian Stimulation Therapy
Shoulder approach
Scapulohumeral rhythm
Scapular movement and stabilization
Humerus anterior gliding
Hammer-rock test
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Korean Integrative Medicine Institute
Myofascial Meridian Stimulation Therapy
Scapulohumeral rhythm
Shoulder abduction: occur between glenohumeral joint and scapuothoracic articulation -> scapulohumeral rhythm
Glenohumeral joint : scapular = 2 : 1
Shoulder abduction with external rotation: greater tubercle can go through posterior portion of acromion
Shoulder abduction with internal rotation: limitation of 60 degree
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Korean Integrative Medicine Institute
Myofascial Meridian Stimulation Therapy
Impingement due to Scapulohumeral rhythm
During shoulder elevation or flexion, humerus 를 lateral rotation -> impingement 로 기인한 어깨 통증이 제거
During shoulder flexion (180 도 ), upwardly scapular rotation 이 45 도의 abnormal rotation -> impingement 유발
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Korean Integrative Medicine Institute
Myofascial Meridian Stimulation Therapy
Scapular stabilization
Lower trapezius: scapula medial and inferior
Pectoralis minor: scapula lateral and superior
Serratus anterior: scapula lateral and inferior
Rhomboids : scapula medial and
superior
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Korean Integrative Medicine Institute
Myofascial Meridian Stimulation Therapy
Downwardly rotated scapula
Levator scapular and Rhomboid (short)
Upper Trapezius, Serratus anterior (long)
Shoulder pain (m/c)
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Korean Integrative Medicine Institute
Myofascial Meridian Stimulation Therapy
Depressed scapula
Upper Trapezius (long)
Contributing muscle: Petoralis major, latissimus dorsi
Shoulder pain (m/c)
During shoulder flexion and abduction: stress glenohumeral joint and acromiclavicular joint in malalignment
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Korean Integrative Medicine Institute
Myofascial Meridian Stimulation Therapy
Adducted scapula
Rhomboid and Trapezius (short)
Serratus anterior (long)
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Korean Integrative Medicine Institute
Myofascial Meridian Stimulation Therapy
Abducted scapula
In forntal plane, forward rotate above 30 degree
Glenoid (forward), humerus(seem to be internal rotation): not correct internal rotation ->normal alignment
In abducted-rotated scapular alignment, cubital fossa(forward) and normal humerus ->external rotation of humerus(shortness of External rotator)
In abducted-rotated scapular alignment, shortness of Serratus anterior and Pectoralis major(m/c)
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Korean Integrative Medicine Institute
Myofascial Meridian Stimulation Therapy
Upwardly rotated scapula
Shortness of Trapezius
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Korean Integrative Medicine Institute
Myofascial Meridian Stimulation Therapy
Tilted scapula
Shortness of Pectoralis minor(m/c)
Shortness of Biceps(short head):In scapula correction, elbow(passive flexion) and shoulder(extension)
In scapula correction, shoulder joint maintaining flexion -> Anterior Deltoid and Coracobrachialis: cause of tilted scapula
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Korean Integrative Medicine Institute
Myofascial Meridian Stimulation Therapy
Winged scapula
Weakness of Serratus anterior(m/c)
Other causes: flat thoracic spine, rounded back, scoliosis
In scoliosis, prominent asymmetry
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Korean Integrative Medicine Institute
Myofascial Meridian Stimulation Therapy
Humerus anterior gliding
Anterior gliding
Humerus 근위부가 원위부 보다 더 앞에 있다 .
Pectoralis major 가 subscapularis 보다 더 우세 .->PM short 시 전방 활주
극하근과 소원근이 상완골 하강근으로 작용할 때 견갑하근보다 더 강하게 작용 ->
외회전 하강근이 더 우세해지면 후방관절낭을 더욱 stiffness 있게 만듬
Scapular abduction
유도
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Korean Integrative Medicine Institute
Myofascial Meridian Stimulation Therapy
Hammer-rock test
Humeral abduction-Humeral medial rotation-Scapular abduction and upward rotation
Restriction of These movements: elongated tightness of pectoralis minor & wrist flexion or extensi
on muscle groups
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Korean Integrative Medicine Institute
Myofascial Meridian Stimulation Therapy
Acromio-clavicular joint Pain
Serratus anterior 가 적절한 기능을 못하면 scapula 의 upward rotation 을 위해 trapezius 가 작용 -> clavicle 과 acromion 에 compensatory stress
Rhomboids 가 short -> trapezius 가 upwardly rotated scapula하기 위해서 acromio-clavicular joint 에 overload of stress
Scapular downward rotation 으로 기인 .
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Korean Integrative Medicine Institute
Myofascial Meridian Stimulation Therapy
Elbow approach
Tennis elbow: elongated tightness of 5th Phalange flexion elongated tightness of Wrist flexion deviation of proximal radio-ulnar junction
Golfer’s elbow: elongated tightness of 1st Phalange flexion elongated tightness of Wrist extension elongated tightness of Shoulder flexion
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Korean Integrative Medicine Institute
Myofascial Meridian Stimulation Therapy
LI4: 합곡
LI5: 양계
LI11: 곡지
LI15: 견우
LI14:비노
LI18:부돌
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Korean Integrative Medicine Institute
Myofascial Meridian Stimulation Therapy
SI3: 후계
SI9: 견정
SI20: 노유
SI15:견중수
SI11:천종
SI19:청궁
SI17:천용
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Korean Integrative Medicine Institute
Myofascial Meridian Stimulation Therapy
HT7:신문
HT3: 소해
HT1: 극천
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Korean Integrative Medicine Institute
Myofascial Meridian Stimulation Therapy
PC6:내관
PC1:천지
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Korean Integrative Medicine Institute
Myofascial Meridian Stimulation Therapy
TE5:외관
TE14:견료
TE13: 중저
TE16: 천유
TE22: 화료
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Korean Integrative Medicine Institute
Myofascial Meridian Stimulation Therapy
GB34: 양릉천
GB30: 환도GB28: 유도
GB26: 대맥
GB21: 견정
GB20:풍지
GB29: 거료
GB14: 양백
GB43: 협계
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Korean Integrative Medicine Institute
Myofascial Meridian Stimulation Therapy
LU10:어제
LU2:운문
LU1: 중부
LU5: 척택
LU7: 열결
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Korean Integrative Medicine Institute
Myofascial Meridian Stimulation Therapy
Hip approach
Posterior gliding
Anterior gliding
Passive SLR 시 femur head 가 posterior glide 하고 움직임 제한 : positive
Faber test 시 femur head 가 anterior glide되고 움직임 제한 : positive
Hip antetorsion: 내회전이 과도
Hip retrotorsion: 외회전이 과도 -> 남자에서 호발
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Korean Integrative Medicine Institute
Myofascial Meridian Stimulation Therapy
“If there is free flow, there is no pain.
If there is no free flow,
there is pain.” - In Traditional Chinese Medicine
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Korean Integrative Medicine Institute
Myofascial Meridian Stimulation Therapy
Goals of Treatment in the MMST
improvement of autonomic nervous dysfunction
maintenance of myofascial meridian balance
restoration of segmental dysfunction
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Korean Integrative Medicine Institute
Myofascial Meridian Stimulation Therapy
1.Improvement of autonomic nervous dysfunction
use sympathetic switch points and parasympathetic switch points
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Korean Integrative Medicine Institute
Myofascial Meridian Stimulation Therapy
2.maintenance of myofascial meridian balance
use meridian points selected by the Myofascial Meridian Test (MMT) applying similarity between myofascial lines and meridian muscle lines
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Korean Integrative Medicine Institute
Myofascial Meridian Stimulation Therapy
3.Restoration of segmental dysfunction
use SomatoSomatic Points (SSP) and SomatoVisceral Points (SVP)
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Korean Integrative Medicine Institute
Myofascial Meridian Stimulation Therapy
Treatment methods of the MMST
Acupuncture
Dry needling
Subcutaneous taped acupuncture
Injection
Magnetic therapy
Myofascial release
In applying the MMST, there can be various stimulation modalities according to your scope of practice or your
preference.
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Korean Integrative Medicine Institute
Myofascial Meridian Stimulation Therapy
Acupuncture
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Korean Integrative Medicine Institute
Myofascial Meridian Stimulation Therapy
Dry needling
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Korean Integrative Medicine Institute
Myofascial Meridian Stimulation Therapy
Subcutaneous taped acupuncture
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Korean Integrative Medicine Institute
Myofascial Meridian Stimulation Therapy
Injection
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Korean Integrative Medicine Institute
Myofascial Meridian Stimulation Therapy
“The MMST doesn’t cure or heal anything.
All it does set your body back to normal
so that the healing process begin.”
– Dr. Cho